Guidelines
- CDC—Guideline for Prescribing Opioids for Chronic Pain—United States, 2022
- CDC—Guideline for Prescribing Opioids for Chronic Pain Factsheet
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- FDA—Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
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- ADHS—Arizona Opioid Prescribing Guidelines
- ADHS—Preventing Overdose from a Hospital Setting
- Arizona Opioid Assistance & Referral (OAR) Line
- The Arizona Pain and Addiction Curriculum Clinical Resource Compendium 2019
- Arizona Guidelines for Emergency Department Controlled Substances Prescribing Full Report
- Arizona Opioid Action Plan Version 2.0
- OSP Evidence-Based Solutions to Consider for AZ Critical Access Hospitals
- HSAG OSP Gap Assessment | Specific Considerations for AZ Critical Access and Rural Hospitals
Commitment
- American Hospital Association—Opioid Stewardship Collaborative Action Plan Template
- American Hospital Association—Stem the Tide: Opioid Stewardship Measurement Implementation Guide (2020; p. 47)
- CDC—Video Series: Quality Improvement & Care Coordination When Prescribing Opioids for Chronic Pain
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- NQF—Opioid Playbook (pp. 7–9)
- Society of Hospital Medicine—Reducing Opioid Events Guide (RADEO; pp. 7–8)
- The Joint Commission—R3 Report on Pain Assessment and Management Standards for Hospitals (pp. 1, 4)
- The Joint Commission Journal—An OSP System Success Story
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- CDC—PDMP Fact Sheet
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- CDC—Video Series: Quality Improvement & Care Coordination When Prescribing Opioids for Chronic Pain
- eCQI Safe Use of Opioids—Concurrent Prescribing (eCQM) Measure Specifications
- CDC—Implementing the CDC Guidline for Prescribing Opioids for Chronic Pain (pp. 6, 8, 10, 17, 23, 26, 27, 34, 41)
- A Health System–Wide Initiative to Decrease Opioid-Related Morbidity and Mortality
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- AHA—Stem the Tide: Addressing the Opioid Epidemic
- Clinical Opiate Withdrawal Scale (COWS)
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- Buprenorphine: An Overview for Clinicians
- Management of Opioid Use Disorder in the Emergency Department: A White Paper Prepared for the American Academy of Emergency Medicine (pp. 5–7)
- Support for Hospital Opioid Use Treatment (SHOUT) Webinar 6: Dishcarge Planning and ED Buprenorphine Induction
- CA Bridge Guide—Treatment of Substance Use Disorders in Association with COVID-19
- CA Bridge Guide—Acute Pain Management in Patients on Buprenorphine in ED and Critical Care
- HHS—Pain Management Best Practices (pp. 26, 65)
- Recommendations from the ERAS® Society for standards for the development of enhanced recovery after surgery guidelines
- Basics of Enhanced Recovery
- HSAG—Enhanced Recovery After Surgery (ERAS) and Managing the Difficult Patient
- AzMAT Mentors Program
Action
- The Office of the National Coordinator for Health Information Technology—Improving Opioid Prescribing through Electronic Clinical Decision Support Tools
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- CDC Video Series: Quality Improvement & Care Coordination When Prescribing Opioids for Chronic Pain
- SHM RADEO Toolkit (Reducing Adverse Drug Events Related to Opioids Implementation Guide)
- CDC—Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
- Safe Use of Opioids—Concurrent Prescribing (eCQM) measure specifications
- A Health System–Wide Initiative to Decrease Opioid-Related Morbidity and Mortality (pp. 4–5)
- CDC—Clinical Guidance for Selected Common Acute Pain Conditions
- Colorado ALTO Project
- ALTO Patient Pathways
- ALTO Program ED Clinical Applications (Innovation Award)—ALTO Protocols
- CDC—Prescription Opioids: What You Need to Know (Fact Sheet)
- CDC—Nonopioid Treatments for Chronic Pain (Fact Sheet)
- Geriatricpain.org—ALTO Nondrug Pain Management Overview
- Annals of Internal Medicine—Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians
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- Rapid Opioid Dependence Screen (RODS)
- National Institute on Drug Abuse—Evidence-Based Screening Tools and Assessment Resource Materials
- AHA—Stem the Tide: Addressing the Opioid Epidemic (pp.15–18)
- Screener and Opioid Assessment for Patients with Pain (SOAPP)
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- HSAG—Reducing Opioid Adverse Drug Events: Prescriber Tips and Preventing and Managing Opioid Side Effects
- U.S. Surgeon General’s Advisory on Naloxone and Opioid Overdose
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- Bridge Program—Buprenorphine-Naloxone: What You Need to Know
- CA Bridge—MAT Options for Ongoing Treatment After Hospital Starts
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives (pp. 14–15)
- CDC—Vital Signs: Opioid Overdoses Treated in Emergency Departments—Identify opportunities for action
- SAMHSA Treatment Locator
- AHCCCS Treatment Locator
- A Health System–Wide Initiative to Decrease Opioid-Related Morbidity and Mortality (p. 4)
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Track and Report
- American Hospital Association—Stem the Tide: Opioid Stewardship Measurement Implementation Guide (2020)
- AMA—Help Save Lives: Co-prescribe Naloxone to Patients at Risk of Overdose
- CDC—Video Series: Quality Improvement & Care Coordination When Prescribing Opioids for Chronic Pain
- CDC—Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
- Safe Use of Opioids—Concurrent Prescribing (eCQM) Measure Specifications
- Prescribe to Prevent: Preventing Fata Opioid Overdose Among Your Patients
- NIH—Gudin et al (2013). Risks, Management, and Monitoring of Combination Opioid, Benzodiazepines, and/or Alcohol Use
- Sample Prescription & Dispensing Instructions for Nasal Naloxone with Tear-Off
- HHS—Naloxone: The Opioid Reversal Drug that Saves Lives
- FDA—Naloxone: Drug Safety Communication
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- American Hospital Association—Stem the Tide: Opioid Stewardship Measurement Implementation Guide (2020)
- CDC—Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives
- CDC—Clinical Quality Improvement Opioid Measures
- Safe Use of Opioids—Concurrent Prescribing (eCQM) measure specifications
- The Joint Commission Journal—An OSP System Success Story
- SHM RADEO Toolkit (Reducing Adverse Drug Events Related to Opioids Implementation Guide)
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Education and Expertise
Risk Assessment
- National Institute on Drug Abuse: Evidence-Based Screening Tools and Assessment Resource Materials
- ISMP Medication Safety Self Assessment ® for High-Alert Medications
- Pasero Opioid-induced Sedation Scale (POSS)
- Screener and Opioid Assessment for Patients with Pain (SOAPP)
- Richmond Agitation Sedation Scale (RASS)
- The Pain Assessment and Management Initiative (PAMI) has a Discharge Planning Toolkit for Pain: Pain Management at Hospital Discharge
- SOS Risk Stratification Tool (p.77)
Pain Management
- American Pain Society—Guidelines on the Management of Postoperative Pain
- CDC—Implementing the CDC Guidline for Prescribing Opioids for Chronic Pain
- ACS Best Practice Guidelines for Acute Pain Management in Trauma Patients
- ACS Best Practice Guidelines for Acute Pain Management in Trauma Patients: Pain Management in Patients on Chronic Opioid Therapy or with Opioid Use Disorder
- PAMI Discharge Planning Toolkit for Pain
- Society of Hospital Medicine (SHM) Multimodal Pain Strategies Guide for Postoperative Pain Management
- CAMJ "Caring for Patients with Opioid Use Disorder in the Hospital"
SNF: Pain Management
- The Joint Commission—Pain Assessment and Management Standards for Nursing Care Centers (pp. 3–4)
- The Society for Post-Acute and Long-Term Care Medicine—Opioids in Nursing Homes Resolution and Position Statement
- ASCP—Opioid Stewardship Toolkit: A Pharmacist's Guide for Older Adults
- Geriatricpain.org—Education for Clinicians
Prescribing
- HSAG—Reducing Opioid Adverse Drug Events: Prescriber Tips and Preventing and Managing Opioid Side Effects
- CMS—2019 Medicare Part D Opioid Policies: Information for Prescribers
- FDA Blueprint for Prescriber Education for Extended-Release and Long-Acting Opioid Analgesics
- Opioids Prescribing Recommendation for Opioid-Naïve Patients
- Enhanced Recovery After Surgery (ERAS)
- HHS Opioid Tapering Guide
- Institute for Safe Medication Practices (ISMP) Targeted Medication Safety Best Practices for Hospitals
- CDC—Prescription Opioids: What You Need to Know (Fact Sheet)
- CDC—Promoting Safer and More Effective Pain Management (Fact Sheet)
- CDC—Nonopioid Treatments for Chronic Pain (Fact Sheet)
- Advocate for Opioid Recovery
- Sample Patient Agreement Forms
- Disposal of Unused Medicines: What You Should Know and Drug Takeback Program
- Pain: What to Expect and How to Manage at Home
- Managing Your Pain the Hospital
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Opioid Stewardship AssessmentsDownload PDF versions: |
